Care Home: The Conifers

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What the care home does well We had conversations with three people using this service. They told us that their care was good and that they got on well with staff. People sitting in the lounge appeared to be relaxed and were enjoying a mid-morning cup of tea. We observed staff interacting well with people living in the home. People were addressed in a respectful and dignified manner. We observed a member of staff taking care to explain to a person with a visual impairment, exactly where they had positioned a cup of tea. This was evidence of good practice in minimising the risk of accidental scalding to the person concerned. Staff had received training in recognising abuse and the action they must take if they suspected a person using the service was at risk of harm. What the care home could do better: People using this service consistently tell us that the care and support they receive is good and staff appear to know what they must do to keep people safe from harm. However, written information in risk assessments, reviews and care plans must accurately reflect the action that staff take to minimise the risk of accidental injury to the people accommodated. Monthly reviews must detail significant events and use the information to update risk assessments and care plans. Clear written guidance must be provided to ensure that staff are aware of the action they must take to manage the risk of accidental harm to people living in the home. We recommend that staff receive training and competency assessments in undertaking the assessment and management of risk. Regulation 37 notifications help us to monitor the conduct of the home and outcomes for people using the service. The registered manager must consistently notify us about significant incidents occurring in the home. This includes accidental injuries that require treatment from a medical practitioner. Random inspection report Care homes for older people Name: Address: The Conifers 253-255 Seymour Grove Old Trafford Manchester M16 0DS two star good service 11/02/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Val Bell Date: 0 6 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Conifers 253-255 Seymour Grove Old Trafford Manchester M16 0DS 01618819380 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Santosh Trehan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Santosh Trehan care home 12 Number of places (if applicable): Under 65 Over 65 0 12 dementia old age, not falling within any other category Conditions of registration: 12 0 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia - Code DE. The maximum number of service users who can be accommodated is: 12. Date of last inspection Brief description of the care home The Conifers provides personal care and accommodation for a maximum of twelve older people, who may also have a physical disability or a diagnosis of dementia. The Conifers can also provide additional day care for up to three people. Care Homes for Older People Page 2 of 9 1 1 0 2 2 0 0 9 Brief description of the care home The home is owned and managed by Dr & Mrs Trehan and is located in an established residential area of Old Trafford close to the village of Chorlton, shops, bus and train routes and other amenities. The home is a two storey Victorian property set in its own grounds and consists of 10 bedrooms (eight single and two double), one dining room and two lounges. Stair lifts are installed on both sets of stairs. The home has gardens to front and rear of the property, which are well maintained. Parking is available to the rear of the premises. Care Homes for Older People Page 3 of 9 What we found: On 5th February 2010 we were notified by Trafford Social Services that a person accommodated in The Conifers had sustained a serious injury during a fall on 16th January. The incident had been referred to Trafford for investigation under their Safeguarding Adults Procedures. The investigation raised concerns relating to the homes failure to assess this persons needs prior to admission, to implement a care plan and to undertake a risk assessment based on a history of falls. Care homes are required to let us know, without delay, about serious injuries occurring to the people accommodated. These are called Regulation 37 notifications. The home did not send us notification about this incident until 24th February. Our records showed that no other Regulation 37 notifications had been received from The Conifers since our last visit. We visited the home on 6th May 2010 to look at these issues. Our visit was unannounced, which means that the manager was not informed that we were coming to visit. The registered manager was on holiday on the day of our visit, but we were joined by a member of senior management from a nearby nursing home owned by the provider. We examined the Conifers accident records and found that five incidents had been recorded between October 2009 and March 2010 for injuries sustained two people living in the home. Accidental injuries should trigger a review of the persons risk assessment and care plan. This had not been undertaken appropriately for the two people concerned. For example, one person sustained three cuts to her hand on 25th February, from contact with an item of furniture in her room. Her review dated 14th March made no mention of this incident and no risk assessment had been undertaken to minimise the risk of this happening again. The second person had attended hospital in January for treatment to a cut on her back. A review conducted two weeks after the incident failed to highlight the risk. Additionally, no specific risk assessment had been undertaken and there was no clear guidance in place to tell staff what they must do to keep this person safe from further accidental harm. We looked at the initial assessments undertaken for both these people. It was evident that suitable in-house assessments of need had been undertaken prior to their admission. What the care home does well: We had conversations with three people using this service. They told us that their care was good and that they got on well with staff. People sitting in the lounge appeared to be relaxed and were enjoying a mid-morning cup of tea. We observed staff interacting well with people living in the home. People were addressed in a respectful and dignified manner. We observed a member of staff taking care to explain to a person with a visual impairment, exactly where they had positioned a cup of tea. This was evidence of good practice in minimising the risk of accidental scalding to the person concerned. Staff had received training in recognising abuse and the action they must take if they suspected a person using the service was at risk of harm. Care Homes for Older People Page 4 of 9 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans and risk 06/06/2010 assessments must be regularly reviewed and updated as individuals needs change. To provide evidence that the changing needs of people accommodated in the home continue to be met. 2 7 13 Risks identified by an individuals assessment of needs must be thoroughly assessed and clear guidance must be written down to inform staff how they must manage the risk. To ensure that people using this service receive care and support that keeps them safe from accidental harm 06/06/2010 3 31 37 The registered manager must give notification to the Commission, without delay, of significant events in the home that affect the welfare of the people accommodated. 06/06/2010 Care Homes for Older People Page 7 of 9 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action To enable the Commission to monitor the conduct of the home and the welfare of the people accommodated. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 30 Staff should receive training in the assessment and management of risk. To ensure that people living in the home receive appropriate care and support to keep them safe from accidental harm. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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